Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.

More about Dr. Vikram G Nagaraj

Dr. Vikram G Nagaraj is a popular Orthopedist in Kanakapura, Bangalore. He has been a practicing Orthopedist for 14 years. He is a MBBS, MS - Orthopaedics. You can meet Dr. Vikram G Nagaraj personally at Vikram Orthopedic Centre in Kanakapura, Bangalore. Book an appointment online with Dr. Vikram G Nagaraj and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Orthopedists in India. You will find Orthopedists with more than 44 years of experience on Lybrate.com. You can find Orthopedists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Wound in leg in a diabetic patient needs to be taken very seriously. Keep close watch on blood sugar levels. Keep a regular follow up with your diabetes doctor. This needs personal look at wound and necessary treatment. Cannot be treated here.

Hello,
It's good to reduce weight at right time as many problems (including pain in knees & feet) which are directly related to overweight!
Read the following guidelines and implement them in your routine:
Management:
1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages.
2: Be choosy about nighttime snacks.
3: Enjoy your favorite foods.
4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy).
5: Do regular exercises daily (start with light and later may be little vigorous) . Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation.
6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly.
7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition.
8: Choose lean proteins instead of fatty ones.
9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight.
10: Don't skip meals.When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals
11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers.
12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits.
Exercises:
Doing exercises regularly will not only cut down your belly fat, but also you will get a body in good shape and you will be get rid of many diseases related to it!
Following exercises will help you to achieve this if you don’t have any other medical condition:
1.The Plank - Lie down on your tummy and then come on your palms and toes.Lift the knees off the floor. Draw your tummy muscles up and breathe deeply into the side and back of the rib cage. Aim to hold the pose for 30 seconds.
2.Static Tiger pose - Place your hands and knees on the floor. This is the starting position. Now lift up one leg and extend the opposite arm. Hold this Static Tiger Pose for 3 deep breaths. Come back to the starting position and swap sides, extending arm and opposite leg. You can look down towards the mat to keep the spine in line. This exercise will build core strength.
3.Sitting Spinal Twist - Sit on the floor and cross your legs. Place one hand next to your hip and the other on the knee. Rotate the spine and look over one shoulder into a Sitting Spinal Twist. Inhale. Exhale back to centre. Swap sides, rotating and looking over the shoulder. Inhale. Exhale back to centre.
4.Stomach Crunches - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Place your hands on your thighs, across your chest or behind your ears. Slowly curl up towards your knees until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 stomach crunches.
5.Oblique Crunch - Lie on your back, knees bent and feet flat on the floor, hip-width apart. Roll your knees to one side down to the floor. Place your hands across your chest or behind your ears. Slowly curl up towards your hips until your shoulders are about three inches off the floor. Hold the position for a few seconds and lower down slowly. Perform 12 oblique crunches and repeat on the opposite side.
Medication:
Start taking Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 1 month. Thereafter revert me back for further guidance.
All the best!

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back knee & general exercises.
It may have to be further investigated.
Make sure you are not allergic to any of the medicines you are going to take.
For emergency treatment contacts your nearest hospital or family doctor.
If it doe s not give relief in 4-5days, contact me again.
Why not discuss with me in a video conference?

Ossteoarthritis is the most common form of arthritis, affects almost everyone. It occurs when the protective cartilage wear off. Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips and spine. There is no Cure for Osteoarthritis. But staying active, maintaining a healthy weight and other treatments may slow progression of the disease and help improve pain and joint function.
Symptoms
Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include:
1) Pain.
2) Tenderness. Light pressure gives pain.
3) Stiffness.
4) Loss of flexibility 5) Grating sensation
6) Bone spurs. These extra bits of bone, which feel like hard lumps, may form around the affected joint.
Causes
Osteoarthritis occurs when the cartilage that cushions the ends of bones in your joints gradually deteriorates. Cartilage is a firm, slippery tissue that permits nearly frictionless joint motion. In osteoarthritis, the slick surface of the cartilage becomes rough. Eventually, if the cartilage wears down completely, you may be left with bone rubbing on bone.
Risk factors
Factors increase risk of osteoarthritis include:
1) Older age. The risk of osteoarthritis increases with age.
2) Sex. Women are more likely to develop osteoarthritis, though it isn't clear why.
3) Obesity. Carrying extra body weight contributes to osteoarthritis in several ways. It puts added stress on weight-bearing joints, such as your hips and knees. In addition, fat tissue produces proteins that may cause harmful inflammation in and around your joints.
4) Joint injuries. Injuries, such as those that occur when playing sports or from an accident, may increase the risk of osteoarthritis.
5) Certain occupations. If your job includes tasks that place repetitive stress on a particular joint, that joint may eventually develop osteoarthritis.
6) Genetics. Some people inherit a tendency to develop osteoarthritis.
7) Bone deformities. Some people are born with malformed joints or defective cartilage, which can increase the risk of osteoarthritis.
8) Other diseases. Having diabetes or other rheumatic diseases such as gout and rheumatoid arthritis can increase your risk of osteoarthritis.
Complications
Osteoarthritis is a degenerative disease that worsens over time. Joint pain and stiffness may become severe enough to make daily tasks difficult. Some people are no longer able to work. When joint pain is this severe, doctors may suggest joint replacement surgery.
Tests and diagnosis
Clinical Examination, X Rays and Blood tests.
Treatments and drugs
1) Medications
A. Acetaminophen.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs).
2) Therapy
A. Physical therapy.
B. Occupational therapy.
C. Braces or shoe inserts.
D chronic pain class – Training in group
3) Surgical and other procedures
A. Cortisone shots.
B. Lubrication injections.
C. Realigning bones.
D. Joint replacement.
4) Lifestyle and home remedies
A. Exercise.
B. Lose weight.
C. Use heat and cold to manage pain.
D. Apply over-the-counter pain creams.
E. Use assistive devices.
5) Alternative medicine (I do not believe but people use)
A. Acupuncture.
B. Glucosamine and chondroitin.
C. Avocado-soybean unsaponifiables.
D. Tai chi and yoga.

Requires examination and investigation in detail.
Presently investigations suggested:
hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d
xray of the affected part.
Anyway you may try
sleep on a hard bed with soft bedding on it.
Spring beds, folding beds or thick mattress are harmful
use no pillow under the head
do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it.
Let it not become beginning of a bigger problem.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, inform

Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.

Hi
Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi.
These symptoms can be due to a nerve impingement, or rarely vascular in nature.
Kindly tell me whether you have any issues with you neck region also?
Do not hesitate to contact me if you need any further assistance.
You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
Thanks & Regards
Dr Akshay Kumar Saxena
Consultant Orthopaedics
Fortis Hospital, New Delhi

Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands. We have well equipped centers in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery.
Do not ignore. It could be beginning of a serious problem.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Do not hesitate to contact me if you need any further assistance. By waist pain, do you mean lower back pain?
please mention exact duration of both these symptoms, associated symptoms like numbness, weakness in legs, paraesthesias in legs etc.
Please also enclose your tests which have been done and what treatment have you take till now for these existing problems?
Thanks & regards
Dr. Akshay kumar saxena
Consultant orthopaedics fortis hospital, new delhi.

Gentle massage over the affected part with lukewarm herbal pain relieving oil for 20 minutes followed by hot fomentation. It will relax the muscles and the veins of your affected part improving the blood supply to the organ and giving strength to it. Please avoid over-use of the part affected i. E. Lifting weight - pushing or pulling heavy objects. Give proper rest to the part - let it heal with the time.
This will greatly help.

Health Hazard in Long Sitting Avoid Sitting For long time to prevent Muscles to get spasms or Stiffen and to avoid accumulation of Adipose Tissues as it may increase the risk of developing Waistline Hence Try to do small movements involving Hip rotation and Moving around for at least 15 minutes every Three hours to ensure Occupational Strain in the joints and to ensure Better Metabolism

You have not mentioned the nature of your job .For backache take yograj guggul 2 tabs twice daily with maharasnadi kwatha 4 tsf with equal amt of water after meals.chew the tablets for better results .plain til taila could be applied on the back .avoid lifting heavy weight and use hard bed for sleeping .Good luck.